84533C - Walend, Dennis

ate"rr"' �CAMA ElDREDGE & FILL N9 84533 A B C D
� /± Previous permit
a GENERAL PERMIT Date previous permit issued
56New ❑Modification []Complete Reissue ❑Partial Reissue
As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
ISANCAC 6� VA 1100 1� ❑ Rules attached. 2 General Permit Rules available at the following link:w de�gov/CAMArules
Applicant Name . EAA)tS W''r L END rJ Authorized Agent 1%
Address��)11 )II bury C(a6t1 ^J ���,',,` Project Location (fnnry)' �Al
City .7v L/�'QS Perm State N� ZIP UVY'[� Street Address/State Road/Lot#(s) GA ,ice
Phone #( q-n Ig;
Email _dpsO � per 1 9 (� 11 hw . cnm Subdivision
City ' 1 zw 2t i6 o
Affected ❑CW ®EW PTA [XES ❑PTS Adj. Win Body %ifw% �IJfi2 n/�at man/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj. Wtr. Body Akily Mitt
ORW: yesCni) PNA: ye no
Type of Project/ Activity O)M, fayc( A (' u IST PI t�Q 114' KIA coMicrt) U 0 3' 6V wZeh MT11,41Y .
Shoreline Length No
Access Length /
Pier (dock) length
Fixed Platform(s)Ttt 10
Finger piers) 3'(W 3 i b"Tiz:
Total Platform area 127 so (jr,
Groin length/R
Bulkhead/Riprap length
Max distance/length
Ro m channel
Boat ramp
Boathou Boatlitt
Beach Bulldozing
Other `FCILWALU b BLS
SAV observed:
Moratorium: n/a
Site Photos:
Riparian Waiver Attached:
1tt +ICI moo M
❑ TAIUPAM/NEUSE/BUFFER(circle one)
❑ See note on back regarding River Basin rules
11 See additional notes/conditions on back
I AM AWARFnFSTATIITES. CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Agent or ApplicantPRINTEDName rermn mcer rnini /rv/ajme
T1 XNNIT Lzx (I /r���`
Signature "'Please read compliance statement on back of permit
Signature
,)t1 (v A%2_CL Z1
Annication Fee(%) etheckp7MoneY Order Issuing Date Expiration Date

aotcoasrq r�CAMA ❑ DREDGE & FILL NO 84533 A B (C D
Previous permit
.= GENERAL PERMIT Date previous permit issued
%New ❑ Modification ❑ Complete Reissue [_]Partial Reissue
As authorized *�by the State of
North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
I SA NCAC v T R *' -0(o ElRules attached. 5d General Permit Rules available at the following link: v cleq.nc.gov/CAMArules
}
Applicant Name EAWIS WALEND Authorized Agent q �,t�
Address``,^, -, I � 11/ gQ-�Y G 11 LLt; Project Location (County): ONS t 6
City 90&/fw can State N C ZIP Street Address/State Road/Lot#(s)
Phone # (YRO �3 15132
Email Sn: per V4690. Clnm Subdivision
City SNL !d �- P- ,1 ,�/ ZIp Ot' I)
Affected ❑CW ®EW rZPTA IXES ❑PTS Adj. Wtr. Body �H�AA II��tt �VI��U�G7/"'�,�pp a an/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑SPIMA ❑ PWS Closest Maj. Wtr. Body IYI )w C _Iym
ORW: yesChr PNA: ye n8
Type of Project/Activity rhA)Sf(LW A Ly. IST PLI�I,gIYX COV&ZO QLhTfow I '?SY13' (6Ueaer.) PJmndrI .
kAJc, F),U(Jef etyme. (Scale:Ii1 )
Shoreline Length ILl ✓)1
Access
1
Pier (dock) length 1., . y �%
Fixed Platform(s) (lilt 1` <%, I
Finger piers) 31411sl'lX)24
Total Platform area 123 So 4,
Groin length/N
Bulkhead/ Riprap length
Avg distance offshore _
Max distance/length '
Basin, channel
Boat ramp
oathous Boatlift i31�r3
Beach Bulldozing
Other I AfMMAVUL-GLIV
SAV observed:
Moratorium: n/a
Site Photos:
Riparian Waiver Attached:
IAM
Agent or Applicant PRINTED Name
TG
1Ni +� I, Coop 9U�Awwrl
THIS PROJECT AND
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(Please Initial)
Signature **Please read compliance statement on back of permit**
21". of ,.1&
App i<ation Feels) heck Money Order
Signature
Zz
Issuing Date Expiration Date

ME
0 -0
W
N
N
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY
Name of Property Owner:.
Address of Property: _
Mailing Address of Owner:
Owner's email:
Agent's Name:
Agent's Email:
by owner or their agent)
Agent
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
I hereby certify that I own property adjacent to the above referenced property. The individual applying for this
permit has described to me, as shown on the attached drawing, the development they are proposing. A
descriptions or drawing with dimensions must be provided with this letter.
✓ I DO NOT have objections to this proposal. I DO have objections to this proposal.
If you have objections to what is being proposed, you must notify me N.L.- urvisron or wdsrdr
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contacted
at [phone]. No response is considered the same as no objection if you have been notified by
Certified Mail.
WAIVER SECTION
I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or
groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me
(this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must sign
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback /L+2d`'!/ r/
Sig /tire of Adjaqot Repan Property 0,46r
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO:
Mailing Address of ARPO:
ARPO's email:
rnDate:
M
Z
M
ARPO's Phone#:
*waiver is valid for up to one year from ARPO's Signature*
Revised May 2021

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portiion to be completed by owner or their agent)
Name of Property Owner. DC-NN1.s -1MMAa1R WRC-/V�
Address of Property: 716 k/ll a—1 (.1/ i K�A65 W /� ' ",�/
Mailing Address of Owner: �� t /�L l w�����/�eArM Ayj /a.-.
Owner's email: L065'y'///�WIJi W e wner's Phone#: 77� `✓y- � �
Agent's Name: Agent Phone#:
Agent's Email:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adiacent Property Owner)
I hereby certify that I own property adjacent to the above referenced property. The individual applying for this
permit has described to me, as shown on the attached drawing, the development they are proposing. A
description or drawing with dimensions must be provided with this letter.
I DO NOT have objections to this proposal. V"� I DO have objections to this proposal.
If you have objections to what is being proposed, you must notify the N.U. urvrsion of weaial
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contacted
at [phone]. No response is considered the same as no objection if you have been notified by
Certified Mail.
WAIVER SECTION
I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or
groin must be set back a minimum distance of 15' my area of riparian access unless waived by me
(this does not apply to bulkheads or rip p revetments). (If you wish to waive the setback, you must sign
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback
Signature of Adjacent Riparian Property Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO:
Mailing Address of ARPO:
I r
U
m
/y�
m ARPO's email: r'OrnA
nr\C%UP41ARPO'S Phone#: CJ/O
0
r
Sc
n
fn Date: I — / r 7-6 L
Z*waiver is valid for up to one year from ARPO's Signature`
P
<
Revised May 2021
0
d
M
v

LOCAL REPORT NUMBER REPORTING AGENCY p , g t [ im
RECEIVED
FEB 0 4 2022
tICM-MHD CITY
1�;oud { Cvne� t Rots Dkcy-
ZLv,��l Ttl<phol
- - '1' ,� 1�_-- - -_ a.5� lie.^}h•
1Z„ o
13
r LHi. I �1 taV`
Buii6ekz 1 uL"AyeJ Mvvfe.
J`cvA, sN' j4— �}uc VcS lei e • S-.
I IX
HSY 7002 7/12 [760-08201 PUBLIC

CY
C7
`r
rrl
W
®
N
0
m
6
m
"C
0m-6Hf of )3lIHON
OfbH—bZ4 (Ql6)
�Od�
oaz .a�.t MV'aIN/9
9t9t6 m
4LS9Z 9Z 3M ON SO HOW
AVMHOIH NOLSNIA 09LZ
dMSNN01
aNnOS dNNS uNMO MOl
Sl6 �%09 '0'd
) iumnS AOtlNVO ANive
a
Nou03s TN :a00,e�
wltvl Vtd Y w WIN :NpISNM
aN31VM Vp i selpoa:1R1L A3
lwa V3aY--
M uiONn MM] WA d S 1VFLL kILLll3� I.
SMOV 9£'o
#13NVd 0bC0L£ i ALINnmrw
OZl OS 04 0
rOF:—NIHV39
19 Od WC80
6Z 9d 9Z 8N
Wd.Y. 3NOZ CIHVZVH 000-U HI a3LV001
SI AlH3dO9d SOU 1VHL &AIM 01 SI SIHL
r•NOLLV3LALLH33 000'U s
.£4,94.99 S
,4Z'OS
,00'SOZ
lO
OaOHO
HLON3l OaOHO
Sn10tlN
i 3ANno m
,0S'E4
3 .S4,S4.Sl N
£,
64'LZ
3 84 £099 N
Zl
,000Z
M ZE lf.£Z N
tl
Y3B
3Nn
M/21 I3oNtl1S10 ONINM/21
i
i
mIN anand ,09
M/N �\ 310NIO N0021811PA
9Z Od 9Z 8N
9 101
NNVI
Sd31S
OLLVd NI-03N33NOS
Sd31S 000M-
31v3s ON dVW AlINIWA
3
W
N
�
O
V
U
O
Z
W
U
U
M
IANIA
NOlde
ANOlS W
Sd31S
SIS
zl dO
JNIONVI V
Sd31S DOOM
31060 N009H a 91L
M/H
9Z Od 9Z ON
£ 101
UN3NHOVONON3 ON)
AVM3AI80 31380NOO
S,N3NIOPOV
'1d N013,OOIN

P
90
� tya�
• v \ N t m b d E i $ I� am
\ Ash°
• °gyp " �\ "m_—rni—X v0 ^.0ee 8 � rT�=y N 3 a & g I m
ryX '� m
A
O B O 44e9 q
NC' m40}}626 .0°P IJ/ p 2 0 a'.9bf9 Q8 � ` fie. tl°b � P i
•'S6c 'J;BN. °"o. O\
U-.4
°\a
pH6y � /u / OU'3.v9 GBN o yy``M.00.LSB m I�
N° L1 •° m In N /° R.i�.'tl1 qO O �• In. .BPI 1 Oxj, bm2
mlu O p"i
p
zr
��is=�
00 o (002" 0492lLVV i
® P�i M^GF29 SGS \P0. bm\ 3
v �£ y4tl �,^%' Jo>� O �\�m &.gyp \ oo \.� `y°°•u
W F /oad %ibSn T °' i mo
b 412Ya O zx
o0'
ss0•i'sn9� .a ` o Ny
' S40'�x'40'w- w-g9.os1 tl�xo
v� L`O��i
m31z140Z
FIT - \° r >J'>r °/>p. O \'fie e�9oti °0.
zlo
g c' o o Z b 8 �o N gx wwr. n
rn
itl \Hy1
3wa ° fA O
o
0 o;
r
//b
°

0
0
0
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Perm/,it::
Mailing Address: //o X,
Phone Number:
Email Address:
I certify that I have authorized
/"/' 0/46*p
Agent / Contractor
tG
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: �� [=/Z� BUA � h6aJ'41/q,
at my property located at 7/4
in 4/f/saYV County.
UM
I furthermore certify that I am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
Signature
Print or Type Name
-n
m M
o m q Title /
m/4 l l 2
® Date
This certification is valid through I I